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Billing code 35276: Vessel repairMedicare rate & RVUs

Reports intrathoracic blood vessel repair using a graft other than vein, when the repair is performed without bypass.

CMS RVU26DEffective Oct 1, 2026109 payment localities21 Medicare services in 2024

Medicare pays $1,394.49 for 35276 nationally in a facility.

Medicare rate · 35276

Vessel repair

Work RVUs
25.18
Total RVUs
41.75
Global days
090

National rate · 2026

$1,394.49

Facility setting, before claim adjustments.

See every locality for 35276 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 35276 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 35276 covers

This code describes surgical repair of a blood vessel within the chest using a graft made from material other than vein, without bypass. It may be reported by a vascular or cardiothoracic surgeon repairing an injured or diseased intrathoracic vessel when a graft is required rather than direct closure or a vein graft. The operative report should establish the vessel’s intrathoracic location and the repair method.

Report one service for the qualifying repair and document the graft material and whether bypass was used, since these details distinguish this code from nearby choices. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For a bilateral procedure reported with modifier 50, payment is at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 35276 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

35276 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,263.07
Alaska*Unavailable$1,747.46
ArizonaUnavailable$1,354.57
ArkansasUnavailable$1,247.17
AtlantaUnavailable$1,443.13
AustinUnavailable$1,393.63
BakersfieldUnavailable$1,365.51
Baltimore/Surr. CntysUnavailable$1,481.38
BeaumontUnavailable$1,348.50
BrazoriaUnavailable$1,353.74

35276 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
35276 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 35276 rate is calculated

Each of 35276’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 35276

RVUs × geographic indexes × conversion factor

Work25.18

25.18 RVUs× 1.000 GPCI

Practice expense10.54

10.54 RVUs× 1.000 GPCI

Malpractice6.03

6.03 RVUs× 1.000 GPCI

Adjusted RVUs

41.7500

Conversion factor

$33.4009

Medicare rate

$1,394.49

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 35276

35276 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 35276

Vessel repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 35276

Vessel repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

35276 without 50 · national facility

$1,394.49

Vessel repair

35276-50 · Bilateral: 150%

$2,091.74

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

35276 compared with similar codes

Compare codes · National

5 codes, side by side

  • 35276

    Vessel repair25.18 wRVU

    Not priced

  • 35271

    Vascular graft repair23.97 wRVU

    Not priced

  • 35246

    Vessel repair27.52 wRVU

    Not priced

  • 35216

    Vessel repair35.69 wRVU

    Not priced

  • 35281

    Vessel repair29.31 wRVU

    Not priced

How to choose

35271Vascular graft repair
Both involve intrathoracic repair with a graft other than vein. 35271 is the bypass counterpart; 35276 is reported when repair is without bypass.
35246Vessel repair
This code uses a graft other than vein for intrathoracic repair without bypass. 35246 is the corresponding repair using a vein graft.
35216Vessel repair
35216 describes direct intrathoracic vessel repair without a graft. Use 35276 when the repair requires a graft other than vein.
35281Vessel repair
Both use a graft other than vein, but 35281 is for an intra-abdominal vessel; 35276 is for an intrathoracic vessel.

Codes related to 35276

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 35276
CodeHow it relatesNational office range
Same family
35271Vascular graft repairIntrathoracic repair with a graft other than vein, distinguished by use of bypass.No office rate
35281Vessel repairGraft other than vein for an intra-abdominal vessel repair.No office rate
35261Vessel repairGraft other than vein for repair of a neck vessel.No office rate
Used instead
35246Vessel repairIntrathoracic repair without bypass using a vein graft instead.No office rate
35216Vessel repairIntrathoracic repair without a graft.No office rate

35276 billing questions

How does this differ from 35271?

Both describe intrathoracic vessel repair with a graft other than vein. The distinction is whether bypass is used: 35276 is for repair without bypass.

When would 35246 be reported instead?

35246 describes intrathoracic vessel repair using a vein graft without bypass. Use 35276 when the graft is made from material other than vein.

Can direct vessel repair be reported with this code?

This code represents repair using a graft, not direct closure. A direct repair without a graft is represented by a different code, such as 35216 for the corresponding intrathoracic circumstance.

What documentation supports reporting 35276?

The operative report should identify the vessel’s intrathoracic location, the graft used and its material, and that the repair was performed without bypass.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 35276PPRRVU2026_Oct_nonQPP.csv, line 4,309 (RVU26D)

Open CMS sourceHow we calculate rates

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